Individual provider Active NPI

John Haskell Riskind, PH.D.

  • Psychologist
  • Fairfax, VA
National Provider Identifier
1871652008
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810002321 Issued in VA
Practice address
8550 Arlington Blvd
310
Fairfax, VA 22031-4634
Phone
(703) 280-8060
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810002321 VA Primary

Addresses

Primary practice location

8550 Arlington Blvd
310
Fairfax, VA 22031-4634

Mailing address

8550 Arlington Blvd
310
Fairfax, VA 22031-4634
Phone (703) 280-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000120 DC Practitioner - Clinical Psychologist 8628140779 Practice locations: Fairfax, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9518C Lee Hwy
Fairfax, VA 22031-2303
Phone (703) 280-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810002321VAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871652008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 ARLINGTON BLVD",
            "address_2": "310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314634",
            "telephone_number": "703-280-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 ARLINGTON BLVD",
            "address_2": "310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314634",
            "telephone_number": "703-280-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKIND",
        "first_name": "JOHN",
        "middle_name": "HASKELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810002321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.